摘要
癌性腹水是恶性肿瘤患者中晚期的常见并发症之一。基于“诸胀腹大,皆属于热”理论,结合古代文献和现代医学研究成果,以“因热致胀”核心病机为切入点,提出热邪与癌性腹水密切相关,根据疾病不同时期分析其病机特点,认为癌性腹水的病机演变规律为初期湿热、中期瘀热、后期阴虚内热,分别从清湿热、散瘀热、退虚热等方面探讨癌性腹水的辨治策略,以期指导临床应用。
Ascites is one of the most common complications in patients with advanced malignant tumors.Based on the theory of“all abdominal distension and fullness is ascribed to heat”,and the findings from ancient and modern literature,the authors take the core pathogenesis of“abdominal distension caused by heat”as the entry point,and proposes that pathogenic heat is correlated to malignant ascites,and the word“heat”should be defined by stages,when the pathomechanism of the disease evolves from damp heat in the early stage,stasis heat in the middle stage,to yin deficiency and internal heat in the late stage.According to the different pathomechanism,the strategies for differentiation and treatment of malignant ascites are suggested to be clearing damp heat,dissipating static heat and relieving deficiency heat,respectively,so as to guide clinical application.
作者
韩欣璞
朱潇雨
李杰
HAN Xinpu;ZHU Xiaoyu;LI Jie(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing,100053)
出处
《中医杂志》
CSCD
北大核心
2022年第17期1644-1646,1653,共4页
Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81774289,82074402)
北京科技计划(D161100005116004)。
关键词
癌性腹水
湿热
瘀热
虚热
malignant ascites
damp heat
static heat
deficiency heat
